Why is so much of doctor-patient communication, records etc STILL stuck in the 20th century?
@ 4 months ago
Rose Hill, New York, NY
Actual question, not rhetorical.
@ 4 months ago
Korea Town, New York, NY 10001
Is this something the lawyers have fcked up and docs worried about discovery etc?
@ 4 months ago
I got a lot to say on this one... AMAA.
Are we dealing with too many 'delicate geniuses' that can't be arsed to do a scan or two?
Is this something the politicians have fcked up (and we go back to the lawyers again)
Scan or two? Talking about CT scan?
No like scan a piece of paper...
That's an individual office/hospital issue. We still live with fax machines. :(
Drew - Obama tried to incentivizes modernization of record systems (HITECH act).
It has been fought every step of the way.
It's perhaps an individual issue but ... But other industries don't seem to be so, so laggard. Getting your own medical records sent to you is like pulling teeth sometimes.
Did we have to pass a law to incentivize real estate agents to modernize?
There's a business incentive for them to make sure your health data flow slower than molasses.
Makes it tougher for you to leave them.
Yeah it's like the optometrist crooks that gave ya private label contact lenses so it *looks* like can't get them elsewhere.
Last time in the hospital I told them I wanted copies of the blood work. They acted like i was asking for state secrets. I told them if I didnt receive a copy, i wasn't paying for it. Amazing how free they got with information after that.
@ 4 months ago
Yellow Springs, OH 45387, USA
And then you got the docs that change to that concierge model and then try to hold med records hostage for patients that have to switch...
My discharge papers included my blood work. And a mini chart of my hourly vitals during my stay. I gave it to my primary doc three days later. He said he was still waiting for his copy.
Well it's gotta be faxed one page every other day of course..
The delicate geniuses feel very entitled to patients' records.
Drew,, My doc went the concierge route. For an old fart like myself it's not bad. I can understand why anyone would opt out. It ain't cheap.
The annual physical is damn near worth the price of admission.
I spend about an hour with the nurse and another hour with the doc. Everything gets checked. Right down to your attitude about living, loving, eating, drinking, and family.
I've got no problem with concierge, but they must know not everyone is going to come over for the ride.
Add to that the fact that I haven't even sat down in his waiting room in over five years. I have his cell number. And he expects me to use it.
Yeah I know it's pretty good for the ancients
@Drew - of course they feel entitled to the record. They own the record*
HIPAA forces them to let you see a copy of it.
That's also why they can charge you copying fees.
New York law let's them charge up to $0.75/page for that privilege.
Concierge is nice, but doesn't work well for large #s of patients. Not enough docs.
I'm a huge fan of something called OpenNotes. Lots of resistance to that, too.
Yorkville, New York, NY
I wish there were more Skål docs though... O well.
Let me wander off topic a little.
A nurse at the hospital said that the ACA was partially responsible for the opiod crisis. She said that the satisfaction reports caused docs to over prescribe to
get good pain control surveys.
That's been going on much longer than ACA.
That seems like a fishy thing to blame on Aca although I guess it could have exacerbated it.. No clue
Opioid crisis is so many more years in the making though
She made the statement after we watched a news story identifying a local county as number one in the country for OD deaths.
We're number one!
Yep Drew. Always.
Anyways, the process and how/why medicine has resisted computerization has been interesting since HITECH.
"Medicine" or.... "US Medicine"?
(Although the benefit I guess is we are less vulnerable to the kinda thing that brought down NHS.... Hackers targeting that was extremely messed up)
the NHS is the world's largest purchaser of fax machines...
Northwestern Precinct, Saint Paul, MN
HITECH is only US though
So it is medicine in general, oy yoy yoy.
documentation on computers takes a lot longer. a huge part of the problem.
Maple Grove, MN, USA